LINGERIE & FASHION WEBSITE BUSINESS + eSHOP FORM

WELCOME!

If you have arrived here you have been successful with your purchase. Congratulations!
There are just a couple more steps before you will be operating your own e Shop. Once this form is completed and received we will:

1) Forward an invoice for your purchase
2) Use the information you have provided to setup your Member details
3) Make the necessary changes to the Admin Sections of your shop and Hosting Package
4) Send you all the necessary information and links to operate your business in your Welcome letter.

Please ensure that you complete this form carefully as we do not accept any changes once submitted. If you have any questions please click here.

(NOTE: After receipt of this form if you require additions and or changes an Administration fee of $25 per addition/change plus costs so please ensure you ask questions and complete the form carefully and accurately.)

About You:

 
* Your First Name:
* Your Last Name:
Business Name (if any):
ABN: (for businesses in Australia)
BN: (if applicable for businesses in Australia)
If the requested domain name and name associated with the ABN differ please insert additional information to support the .au application:

* Auction Site 
User Name:		 e.g. EBay User Name
* Auction Item #:

* EBay Email Address:
* Email Address to be used with this account:
Your Registered email address.
Current Web Site URL if any:
* Street Address:
NOTE: Street Address
NOT Postal Address
 
* City:
* State:
* Zip:
* Country:
* Phone Home or Business:
NOTE: Do not use Mobile # here
Phone Mobile:
 Mobile # here
Fax (if any):

Referred By:

Why did you select our auction?:
Answering this question is IMPORTANT to us and we appreciate your time:

About Hosting & eShop:

 Fields marked * are required fields. 
Please ensure all these are completed.
Domain Name
Is this:
To ensure that the domain name is available click here to check.
   A new domain?
   An existing domain name?
* Domain Name required: 
If .au domain name please click here and read this first. Additional fees apply:
   
* Email Address to be used with the hosting account:
If different from above.
* Email Address to be used with the eShop account:
If different from above.
Do you want to choose your own background, border, text colours etc?
If you select NO, our Professional developers will choose the colours etc?
Yes       No
If you chose YES above, once you have completed this form you will be given a link to go to the Personalised Form for completion.
Do you want to choose your own site description, keywords etc?
If you select NO, our Professional developers will choose the colours etc?
Yes       No
If you chose YES above, once you have completed this form you will be given a link to go to the Personalised Form for completion.
Home (Introduction) Page: Static Standard (sample click here - included)
Menu Page (sample click here - extra AUD$79)
Do you require SSL Security Certificate to be installed? 
(also requires a Dedicate IP address -
additional fees apply)		 Yes       No
To find out why you should seriously consider including a SSL Certificate & Dedicate IP to increase sales and provide site security click here.
Payment Method: 
You have read and agree to our terms and conditions?  Type "I Agree" in the box

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